Summary & Overview
HCPCS L3807: Wrist-Hand-Finger Orthosis, Prefabricated Customized Fit
HCPCS Level II code L3807 covers a prefabricated wrist-hand-finger orthosis that is customized to fit a specific patient by an experienced provider. This code represents a common orthotic service used for immobilization, support, or protection of the wrist, hand, and fingers when joint(s) are not incorporated into the device. Nationally, utilization of prefabricated but customized orthoses affects durable medical equipment spending and care pathways in outpatient rehabilitation and orthotics supply chains.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides benchmarks for utilization and reimbursement patterns, outlines clinical contexts in which L3807 is used, and summarizes policy considerations that influence coverage and coding practices. Readers will learn where this code fits within orthotic service lines, typical sites of service, and the implications for billing documentation and supplier workflows. Data not available in the input for specific payor rates, associated taxonomies, or ICD-10 pairings are noted as unavailable and not inferred.
Billing Code Overview
HCPCS Level II code L3807 describes a wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise. The service is the provision and patient-specific customization of a prefabricated orthotic device intended to support or immobilize the wrist, hand, and fingers without incorporated joint components.
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Service Type: Orthotic supply and customization of a prefabricated wrist/hand/finger orthosis
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Typical Site of Service: Outpatient clinics, orthotics/prosthetics supplier locations, rehabilitation facilities, or physician offices where orthotic fitting and customization occur
Clinical & Coding Specifications
Clinical Context
A 42-year-old right-hand–dominant construction worker presents to an outpatient orthopedic hand clinic after sustaining a nondisplaced distal radius fracture and associated wrist sprain while falling from a ladder three days prior. The treating hand therapist measures the patient and selects a prefabricated wrist–hand–finger orthosis. The device is trimmed, bent, and molded by the therapist to immobilize the wrist and restrict finger motion for comfort and fracture protection. The clinic documents prescription details, fabrication/customization steps, fit testing, patient education on donning/doffing and skin checks, and a plan for follow-up adjustment in two weeks. The orthosis is dispensed at the clinic visit under the supervising physician’s order; the supplier includes documentation of customization performed by a certified hand therapist and the device model, size, and adjustments made.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT | Left side | When the orthosis is fitted for the left wrist/hand/fingers. |
RT | Right side | When the orthosis is fitted for the right wrist/hand/fingers. |